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CAH061318-01 KREMMLING MEMORIAL HOSPITAL DISTRICT (Active)
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Main Details
Name
KREMMLING MEMORIAL HOSPITAL DISTRICT
Subdivision Name
dba Middle Park Health - Granby Campus
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH061318-01
Medicare Provider Number
061318
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/6/2014
Participating Start Date
1/1/2015
Participating Approval Date
10/9/2014
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Kremmling Memorial Hospital District
Amy Binkley, CNO
(970) 724-3199
Primary Contact
Middle Park Health
Pauline Portinga, Certified Pharmacy Tech
(970) 724-3199
Addresses
Street Address
1000 GRANBY PARK DRIVE SOUTH
GRANBY, CO 80446
Billing Address
Kremmling Memorial Hospital District dba Middle Park Health - Granby Campus
PO Box 399
Kremmling, CO 80459-0399
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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